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Efficacy and Tolerability of Armodafinil in Adults With Excessive Sleepiness Associated With Shift Work Disorder

A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Tolerability of Armodafinil Treatment (150 mg) in Improving Clinical Condition Late in the Shift and in Improving Functional and Patient-Reported Outcomes in Adult Patients With Excessive Sleepiness Associated With Shift Work Disorder

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01080807
Enrollment
385
Registered
2010-03-04
Start date
2010-03-31
Completion date
2010-10-31
Last updated
2012-06-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Excessive Sleepiness

Brief summary

The primary objective of the study is to determine whether armodafinil treatment is more effective than placebo treatment in patients with excessive sleepiness associated with shift work disorder (SWD) by measuring improved clinical condition late in the shift, including the commute home.

Interventions

DRUGArmodafinil

At the baseline visit, patients who continued to meet eligibility criteria were randomly assigned (1:1) to receive either 150 mg of armodafinil or matching placebo treatment only on nights worked for 6 weeks. Study drug was taken once nightly, 30 to 60 minutes prior to the start of the night shift, on nights worked. Armodafinil treatment was titrated as follows (only on nights worked): the first dose was 50 mg (1 tablet), the second and third doses were 100 mg (2 tablets), and the fourth and subsequent doses were 150 mg (3 tablets). Placebo tablets matching armodafinil tablets were administered on the same schedule.

DRUGMatching Placebo

At the baseline visit, patients who continued to meet eligibility criteria were randomly assigned (1:1) to receive either 150 mg of armodafinil or matching placebo treatment only on nights worked for 6 weeks. Study drug was taken once nightly, 30 to 60 minutes prior to the start of the night shift, on nights worked. Armodafinil treatment was titrated as follows (only on nights worked): the first dose was 50 mg (1 tablet), the second and third doses were 100 mg (2 tablets), and the fourth and subsequent doses were 150 mg (3 tablets). Placebo tablets matching armodafinil tablets were administered on the same schedule.

Sponsors

Cephalon
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

1. The patient currently meets the criteria for Shift Work Disorder (SWD) for duration of at least 1 month. 2. The patient has the presence of excessive sleepiness late in the shift, including the commute home if applicable, with a Clinical Global Impression of Severity of Illness (CGI-S) rating of 4 or more at screening. 3. The patient has clinically significant difficulty in social or occupational functioning, with a Global Assessment of Function (GAF) score less than 70 (on clinician interview) at screening. 4. The patient has a Karolinska Sleepiness Scale (KSS) score of 6 or more at screening (visit 1) that is confirmed at baseline (visit 2). 5. The patient works at least 5 night shifts per month, of which at least 3 nights are consecutive, and plans to maintain this schedule. 6. The patient works night shifts or rotating shifts that include at least 6 hours between 2200 and 0800 (including the time period 0400 to 0800), and shifts are no longer than 12 hours in duration. 7. The patient is in good health, as judged by the investigator. 8. The patient is able to complete self-rating scales. 9. Women of childbearing potential (not surgically sterile or 2 years postmenopausal), must use a medically accepted method of contraception, and must continue use of 1 of these methods for the duration of the study (and for 30 days after participation in the study). Acceptable methods of contraception include: abstinence, barrier method with spermicide, steroidal contraceptive (oral, transdermal, implanted, and injected) in conjunction with a barrier method, or intrauterine device (IUD). 10. The patient is willing and able to comply with study restrictions and to attend regularly scheduled clinic visits as specified in this protocol

Exclusion criteria

1. The patient has mild or more severe obstructive sleep apnea (OSA) defined as an apnea/hypopnea index more than 5 as determined by daytime polysomnography (PSG). 2. The patient has a medical or psychiatric disorder causing clinically significant functional impairment or contributing to the patient's excessive sleepiness. 3. The patient is currently taking a medication or substance that is causing clinically significant functional impairment or contributing to the patient's excessive sleepiness. 4. The patient has a clinically significant treated or untreated medical condition. 5. The patient has a history of clinically significant suicidal ideation in the judgment of the principal investigator or is currently suicidal based on medical and psychiatric history. 6. The patient has a known hypersensitivity to armodafinil, racemic modafinil, or any component of the study drug tablets. 7. The patient has a history of any clinically significant cutaneous drug reaction, or a history of clinically significant hypersensitivity reaction, including multiple allergies or drug reactions. 8. The patient consumes caffeine including coffee, tea and/or other caffeine containing beverages or food averaging more than 600 mg of caffeine per day within 7 days of the baseline visit. 9. The patient uses any prescription or over-the-counter (OTC) drugs disallowed by the protocol within 30 days of the baseline visit. 10. The patient has been in a prior armodafinil study. 11. The patient has a history of alcohol, narcotic, or any other drug abuse. 12. The patient has a positive urine drug screen (UDS) without medical explanation at the screening visit. 13. The patient has a clinically significant deviation from normal on physical examination. 14. The patient is a pregnant or lactating woman. 15. The patient has used an investigational drug within 1 month of the screening visit. 16. The patient has a disorder that could interfere with the absorption, distribution, metabolism, or excretion of the investigational product. 17. The patient needs to use any of the excluded medications in this protocol.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Patients With at Least Minimal Improvement From Baseline in the Clinical Global Impression of Change (CGI-C) Rating as Related to Late Shift Sleepiness at EndpointBaseline and week 6 (or last observation after baseline)The Clinical Global Impression of Change (CGI-C) is an assessment performed by the clinician, evaluating the change in the patient's symptoms over time. The clinician categorizes the change as: very much improved, much improved, minimally improved, no change, minimally worse, much worse, or very much worse. The data presented here represents the percentage of patients whose condition showed at least minimal improvement in the CGI-C rating as related to late shift sleepiness (defined as the period 0400-0800, including the commute home).

Secondary

MeasureTime frameDescription
Change From Baseline to Week 3 in Global Assessment of FunctioningBaseline and Week 3The Global Assessment of Functioning (GAF) is a numeric scale (0 through 100) used by the clinician to rate the social, occupational, and psychological functioning of the patient. A higher score indicates superior functioning and fewer symptoms. The data presented here represents the mean change from baseline in the GAF scores of each group.
Change From Baseline to Week 6 in Global Assessment of FunctioningBaseline and Week 6The Global Assessment of Functioning (GAF) is a numeric scale (0 through 100) used by the clinician to rate the social, occupational, and psychological functioning of the patient. A higher score indicates superior functioning and fewer symptoms. The data presented here represents the mean change from baseline in the GAF scores of each group.
Change From Baseline to Endpoint in the Mean Karolinska Sleepiness Scale (KSS) ScoreBaseline and week 6 (or last observation after baseline)The Karolinska sleepiness scale is a 10-point scale, on which the participant has to mark his sleepiness during the previous 10 minutes. The scale ranges from 1, which indicates extremely alert, to 10, which indicates extremely sleepy, can't stay awake. The KSS was performed by the participant at the baseline visit, week 3, and week 6 (or early termination visit). The score recorded is the average of 3 assessments within ±15 minutes at 0400, 0600, and 0800. The data presented here represents the mean change from baseline in the KSS scores of each group.
Change From Baseline to Week 3 in the Mean Karolinska Sleepiness Scale (KSS) ScoreBaseline and week 3The Karolinska sleepiness scale is a 10-point scale, on which the participant has to mark his sleepiness during the previous 10 minutes. The scale ranges from 1, which indicates extremely alert, to 10, which indicates extremely sleepy, can't stay awake. The KSS was performed by the participant at the baseline visit, week 3, and week 6 (or early termination visit). The score recorded is the average of 3 assessments within ±15 minutes at 0400, 0600, and 0800. The data presented here represents the mean change from baseline in the KSS scores of each group.
Change From Baseline to Week 6 in the Mean Karolinska Sleepiness Scale (KSS) ScoreBaseline and week 6The Karolinska sleepiness scale is a 10-point scale, on which the participant has to mark his sleepiness during the previous 10 minutes. The scale ranges from 1, which indicates extremely alert, to 10, which indicates extremely sleepy, can't stay awake. The KSS was performed by the participant at the baseline visit, week 3, and week 6 (or early termination visit). The score recorded is the average of 3 assessments within ±15 minutes at 0400, 0600, and 0800. The data presented here represents the mean change from baseline in the KSS scores of each group.
Percentage of Patients With at Least Minimal Improvement From Baseline in the Clinical Global Impression of Change (CGI-C) Rating as Related to Late Shift Sleepiness at Week 3Baseline and week 3The Clinical Global Impression of Change (CGI-C) is an assessment performed by the clinician, evaluating the change in the patient's symptoms over time. The clinician categorizes the change as: very much improved, much improved, minimally improved, no change, minimally worse, much worse, or very much worse. The data presented here represents the percentage of patients whose condition showed at least minimal improvement in the CGI-C rating as related to late shift sleepiness (defined as the period 0400-0800, including the commute home).
Percentage of Patients With at Least Minimal Improvement From Baseline in the Clinical Global Impression of Change (CGI-C) Rating as Related to Late Shift Sleepiness at Week 6Baseline and week 6The Clinical Global Impression of Change (CGI-C) is an assessment performed by the clinician, evaluating the change in the patient's symptoms over time. The clinician categorizes the change as: very much improved, much improved, minimally improved, no change, minimally worse, much worse, or very much worse. The data presented here represents the percentage of patients whose condition showed at least minimal improvement in the CGI-C rating as related to late shift sleepiness (defined as the period 0400-0800, including the commute home).
Change From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Composite ScoreBaseline and week 6 (or last observation after baseline)Mental-health related disability was assessed with the Modified Sheehan Disability Scale (MSDS). The MSDS has three 11-point items, and the participant is asked to rate, on a numerical scale, the extent to which emotional problems have disrupted her/his work, social life, and family life/home responsibilities over the last month. Each item is rated from 0, indicating not at all, to 10, indicating extremely. Scores for the items are summed for a possible score of 0 to 30. The MSDS was performed by the patient at the baseline visit, at Week 3, and at Week 6.
Change From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Work Item ScoreBaseline and week 6 (or last observation after baseline)Mental-health related disability was assessed with the Modified Sheehan Disability Scale (MSDS). The MSDS has three 11-point items, and the participant is asked to rate, on a numerical scale, the extent to which emotional problems have disrupted her/his work, social life, and family life/home responsibilities over the last month. Each item is rated from 0, indicating not at all, to 10, indicating extremely. Scores for the items are summed for a possible score of 0 to 30. The MSDS was performed by the patient at the baseline visit, at Week 3, and at Week 6.
Change From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Social Life Item ScoreBaseline and week 6 (or last observation (or last observation after baseline))Mental-health related disability was assessed with the Modified Sheehan Disability Scale (MSDS). The MSDS has three 11-point items, and the participant is asked to rate, on a numerical scale, the extent to which emotional problems have disrupted her/his work, social life, and family life/home responsibilities over the last month. Each item is rated from 0, indicating not at all, to 10, indicating extremely. Scores for the items are summed for a possible score of 0 to 30. The MSDS was performed by the patient at the baseline visit, at Week 3, and at Week 6.
Change From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Family Life Item ScoreBaseline and week 6 (or last observation after baseline)Mental-health related disability was assessed with the Modified Sheehan Disability Scale (MSDS). The MSDS has three 11-point items, and the participant is asked to rate, on a numerical scale, the extent to which emotional problems have disrupted her/his work, social life, and family life/home responsibilities over the last month. Each item is rated from 0, indicating not at all, to 10, indicating extremely. Scores for the items are summed for a possible score of 0 to 30. The MSDS was performed by the patient at the baseline visit, at Week 3, and at Week 6.
Change From Baseline to Endpoint in Global Assessment of Function (GAF) ScoreBaseline and week 6 (or last observation after baseline)The Global Assessment of Functioning (GAF) is a numeric scale (0 through 100) used by the clinician to rate the social, occupational, and psychological functioning of the patient. A higher score indicates superior functioning and fewer symptoms. The data presented here represents the mean change from baseline to endpoint in the GAF scores of each group.
Change From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Score - Number of Days of Reduced ProductivityBaseline and week 6 (or last observation after baseline)Mental-health related disability was assessed with the Modified Sheehan Disability Scale (MSDS). The MSDS has three 11-point items, and the participant is asked to rate, on a numerical scale, the extent to which emotional problems have disrupted her/his work, social life, and family life/home responsibilities over the last month. Each item is rated from 0, indicating not at all, to 10, indicating extremely. Scores for the items are summed for a possible score of 0 to 30. The MSDS was performed by the patient at the baseline visit, at Week 3, and at Week 6.
Treatment Satisfaction Questionnaire for Medication (TSQM)- Effectiveness Score at EndpointEndpointTSQM is a 14 question questionnaire assessing satisfaction with the medication. 4 scales are generated: side effects, effectiveness, convenience, and global satisfaction. Subjects responded to the questionnaire at Week 3, Week 6, and last observation after baseline. Optional responses are: Extremely Dissatisfied, Very Dissatisfied, Dissatisfied, Somewhat Satisfied, Satisfied, Very Satisfied, and Extremely Satisfied. From the responses, a scale score from 0 - 100 is calculated, with a higher score indicating greater satisfaction. Results from the Effectiveness scale are presented here.
Treatment Satisfaction Questionnaire for Medication (TSQM)- Side Effects Score at EndpointEndpointTSQM is a 14 question questionnaire assessing satisfaction with the medication. 4 scales are generated: side effects, effectiveness, convenience, and global satisfaction. Subjects responded to the questionnaire at Week 3, Week 6, and last post-baseline observation. Optional responses are: Extremely Dissatisfied, Very Dissatisfied, Dissatisfied, Somewhat Satisfied, Satisfied, Very Satisfied, and Extremely Satisfied. From the responses, a scale score from 0 - 100 is calculated, with a higher score indicating greater satisfaction. Results from the Side Effects scale are presented here.
Treatment Satisfaction Questionnaire for Medication (TSQM)- Convenience Score at EndpointEndpointTSQM is a 14 question questionnaire assessing satisfaction with the medication. 4 scales are generated: side effects, effectiveness, convenience, and global satisfaction. Subjects responded to the questionnaire at Week 3, Week 6, and last observation after baseline. Optional responses are: Extremely Dissatisfied, Very Dissatisfied, Dissatisfied, Somewhat Satisfied, Satisfied, Very Satisfied, and Extremely Satisfied. From the responses, a scale score from 0 - 100 is calculated, with a higher score indicating greater satisfaction. Results from the Convenience scale are presented here.
Treatment Satisfaction Questionnaire for Medication (TSQM)- Global Satisfaction Score at EndpointEndpointTSQM is a 14 question questionnaire assessing satisfaction with the medication. 4 scales are generated: side effects, effectiveness, convenience, and global satisfaction. Subjects responded to the questionnaire at Week 3, Week 6, and last observation after baseline. Optional responses are: Extremely Dissatisfied, Very Dissatisfied, Dissatisfied, Somewhat Satisfied, Satisfied, Very Satisfied, and Extremely Satisfied. From the responses, a scale score from 0 - 100 is calculated, with a higher score indicating greater satisfaction. Results from the Global Satisfaction scale are presented here.
Change From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Total ScoreBaseline and week 6 (or last observation after baseline)FOSQ-10 consists of 10 questions, on a scale of 1-4(1=extreme difficulty 4=no difficulty), measures impact of sleepiness on activities of daily living. Lower score = more difficulty with activity due to lack of sleep. Total score = MEAN of subscale scores (vigilance, productivity, social outcome, intimacy, activity) multiplied by 5. Worst total score is 5 (maximum difficulty) the best is 20 (no difficulty). This data reports CHANGE in total score from baseline to endpoint, with higher (positive) values representing improvement. Worst possible CHANGE value would be -15 best would be +15.
Change From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Activity Level ScoreBaseline and week 6 (or last observation after baseline)FOSQ-10 consists of 10 questions rated on a scale of 1 to 4 (1=extreme difficulty and 4=no difficulty), and is used to measure the impact of daytime sleepiness on activities of daily living and quality of life. A total score and 5 subscale (vigilance, general productivity, social outcome, intimacy, and activity level) scores are calculated from the responses. Worst subscale score is 1 (maximum difficulty) and the best score is 4 (no difficulty). This score represents the CHANGE from Baseline in the Activity level subscale. Positive change scores represent improvement (possible range -3 to +3).
Change From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) General Productivity ScoreBaseline and week 6 (or last observation after baseline)FOSQ-10 consists of 10 questions rated on a scale of 1-4 (1=extreme difficulty, 4=no difficulty), and is used to measure the impact of daytime sleepiness on activities of daily living and quality of life. A total score and 5 subscale (vigilance, general productivity, social outcome, intimacy, and activity level) scores are calculated from the responses. Worst subscale score is 1 (maximum difficulty) and the best score is 4 (no difficulty). This score represents the CHANGE from Baseline in the General Productivity subscale. Positive change scores represent improvement (possible range -3 to +3).
Change From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Vigilance ScoreBaseline and week 6 (or last observation after baseline)FOSQ-10 consists of 10 questions rated on a scale of 1-4 (1=extreme difficulty, 4=no difficulty), and is used to measure the impact of daytime sleepiness on activities of daily living and quality of life. A total score and 5 subscale (vigilance, general productivity, social outcome, intimacy, and activity level) scores are calculated from the responses. Worst subscale score is 1 (maximum difficulty) and the best score is 4 (no difficulty). This score represents the CHANGE from Baseline in the Vigilance subscale. Positive change scores represent improvement (possible range -3 to +3).
Change From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Social OutcomeBaseline and week 6 (or last observation after baseline)FOSQ-10 consists of 10 questions rated on a scale of 1-4 (1=extreme difficulty, 4=no difficulty), and is used to measure the impact of daytime sleepiness on activities of daily living and quality of life. A total score and 5 subscale (vigilance, general productivity, social outcome, intimacy, and activity level) scores are calculated from the responses. Worst subscale score is 1 (maximum difficulty) and the best score is 4 (no difficulty). This score represents the CHANGE from Baseline in the Social Outcome subscale. Positive change scores represent improvement (possible range -3 to +3).
Change From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) IntimacyBaseline and week 6 (or last observation after baseline)FOSQ-10 consists of 10 questions rated on a scale of 1-4 (1=extreme difficulty, 4=no difficulty), and is used to measure the impact of daytime sleepiness on activities of daily living and quality of life. A total score and 5 subscale (vigilance, general productivity, social outcome, intimacy, and activity level) scores are calculated from the responses. Worst subscale score is 1 (maximum difficulty) and the best score is 4 (no difficulty). This score represents the CHANGE from Baseline in the Intimacy subscale. Positive change scores represent improvement (possible range -3 to +3).
Change From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Score - Days Missed Work or Unable to Carry Out ResponsibilitiesBaseline and week 6 (or last observation after baseline)Mental-health related disability was assessed with the Modified Sheehan Disability Scale (MSDS). The MSDS has three 11-point items, and the participant is asked to rate, on a numerical scale, the extent to which emotional problems have disrupted her/his work, social life, and family life/home responsibilities over the last month. Each item is rated from 0, indicating not at all, to 10, indicating extremely. Scores for the items are summed for a possible score of 0 to 30. The MSDS was performed by the patient at the baseline visit, at Week 3, and at Week 6.

Countries

United States

Participant flow

Recruitment details

385 patients at 45 centers in the US met entry criteria and were considered eligible for enrollment into the study; 2 of these patients enrolled twice under different identification numbers. Of the 383 patients enrolled, 371 received at least 1 dose of study drug and were evaluated for safety; 12 patients withdrew before taking any study drug.

Pre-assignment details

The study consisted of a 1- to 3-week screening period, a 1-week baseline period (followed by randomization), and a 6-week double-blind treatment period.

Participants by arm

ArmCount
150 mg/Day Armodafinil
At the baseline visit, patients who continued to meet eligibility criteria were randomly assigned (1:1) to receive either 150 mg of armodafinil or matching placebo treatment only on nights worked for 6 weeks. Study drug was taken once nightly, 30 to 60 minutes prior to the start of the night shift, on nights worked. Armodafinil treatment was titrated as follows (only on nights worked): the first dose was 50 mg (1 tablet), the second and third doses were 100 mg (2 tablets), and the fourth and subsequent doses were 150 mg (3 tablets). Placebo tablets matching armodafinil tablets were administered on the same schedule.
193
Matching Placebo
At the baseline visit, patients who continued to meet eligibility criteria were randomly assigned (1:1) to receive either 150 mg of armodafinil or matching placebo treatment only on nights worked for 6 weeks. Study drug was taken once nightly, 30 to 60 minutes prior to the start of the night shift, on nights worked. Armodafinil treatment was titrated as follows (only on nights worked): the first dose was 50 mg (1 tablet), the second and third doses were 100 mg (2 tablets), and the fourth and subsequent doses were 150 mg (3 tablets). Placebo tablets matching armodafinil tablets were administered on the same schedule.
190
Total383

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event91
Overall StudyBegan working day shift02
Overall StudyLack of Efficacy01
Overall StudyLaid off or terminated from job12
Overall StudyLost to Follow-up64
Overall StudyMoved away without notifying center10
Overall StudyNoncompliance to study procedures11
Overall StudyNoncompliance with drug administration11
Overall StudyProtocol Violation76
Overall StudyStopped working consistent night shifts01
Overall StudySwitched to first shift10
Overall StudyWithdrawal by Subject72
Overall StudyWork schedule and travel01
Overall StudyWork schedule changing11

Baseline characteristics

CharacteristicMatching Placebo150 mg/Day ArmodafinilTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
190 Participants193 Participants383 Participants
Age Continuous36.1 years
STANDARD_DEVIATION 10.75
36.7 years
STANDARD_DEVIATION 10.71
36.4 years
STANDARD_DEVIATION 10.72
Region of Enrollment
United States
190 participants193 participants383 participants
Sex: Female, Male
Female
90 Participants85 Participants175 Participants
Sex: Female, Male
Male
100 Participants108 Participants208 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
55 / 18422 / 187
serious
Total, serious adverse events
0 / 1841 / 187

Outcome results

Primary

Percentage of Patients With at Least Minimal Improvement From Baseline in the Clinical Global Impression of Change (CGI-C) Rating as Related to Late Shift Sleepiness at Endpoint

The Clinical Global Impression of Change (CGI-C) is an assessment performed by the clinician, evaluating the change in the patient's symptoms over time. The clinician categorizes the change as: very much improved, much improved, minimally improved, no change, minimally worse, much worse, or very much worse. The data presented here represents the percentage of patients whose condition showed at least minimal improvement in the CGI-C rating as related to late shift sleepiness (defined as the period 0400-0800, including the commute home).

Time frame: Baseline and week 6 (or last observation after baseline)

Population: The number of participants analyzed represents the number of participants with evaluable data.

ArmMeasureValue (NUMBER)
150 mg/Day ArmodafinilPercentage of Patients With at Least Minimal Improvement From Baseline in the Clinical Global Impression of Change (CGI-C) Rating as Related to Late Shift Sleepiness at Endpoint77 Percentage of participants
Matching PlaceboPercentage of Patients With at Least Minimal Improvement From Baseline in the Clinical Global Impression of Change (CGI-C) Rating as Related to Late Shift Sleepiness at Endpoint57 Percentage of participants
Secondary

Change From Baseline to Endpoint in Global Assessment of Function (GAF) Score

The Global Assessment of Functioning (GAF) is a numeric scale (0 through 100) used by the clinician to rate the social, occupational, and psychological functioning of the patient. A higher score indicates superior functioning and fewer symptoms. The data presented here represents the mean change from baseline to endpoint in the GAF scores of each group.

Time frame: Baseline and week 6 (or last observation after baseline)

Population: The number of participants analyzed represents the number of participants with evaluable data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in Global Assessment of Function (GAF) Score9.4 Units on a scaleStandard Error 0.62
Matching PlaceboChange From Baseline to Endpoint in Global Assessment of Function (GAF) Score5.0 Units on a scaleStandard Error 0.64
Secondary

Change From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Activity Level Score

FOSQ-10 consists of 10 questions rated on a scale of 1 to 4 (1=extreme difficulty and 4=no difficulty), and is used to measure the impact of daytime sleepiness on activities of daily living and quality of life. A total score and 5 subscale (vigilance, general productivity, social outcome, intimacy, and activity level) scores are calculated from the responses. Worst subscale score is 1 (maximum difficulty) and the best score is 4 (no difficulty). This score represents the CHANGE from Baseline in the Activity level subscale. Positive change scores represent improvement (possible range -3 to +3).

Time frame: Baseline and week 6 (or last observation after baseline)

Population: Full analysis set defined as subjects who were assessed with FOSQ-10 at baseline and at endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Activity Level Score0.7 Units on a scaleStandard Error 0.07
Matching PlaceboChange From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Activity Level Score0.5 Units on a scaleStandard Error 0.07
Secondary

Change From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) General Productivity Score

FOSQ-10 consists of 10 questions rated on a scale of 1-4 (1=extreme difficulty, 4=no difficulty), and is used to measure the impact of daytime sleepiness on activities of daily living and quality of life. A total score and 5 subscale (vigilance, general productivity, social outcome, intimacy, and activity level) scores are calculated from the responses. Worst subscale score is 1 (maximum difficulty) and the best score is 4 (no difficulty). This score represents the CHANGE from Baseline in the General Productivity subscale. Positive change scores represent improvement (possible range -3 to +3).

Time frame: Baseline and week 6 (or last observation after baseline)

Population: Full analysis set defined as subjects who were assessed with FOSQ-10 at baseline and at endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) General Productivity Score0.7 Units on a scaleStandard Error 0.07
Matching PlaceboChange From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) General Productivity Score0.6 Units on a scaleStandard Error 0.08
Secondary

Change From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Intimacy

FOSQ-10 consists of 10 questions rated on a scale of 1-4 (1=extreme difficulty, 4=no difficulty), and is used to measure the impact of daytime sleepiness on activities of daily living and quality of life. A total score and 5 subscale (vigilance, general productivity, social outcome, intimacy, and activity level) scores are calculated from the responses. Worst subscale score is 1 (maximum difficulty) and the best score is 4 (no difficulty). This score represents the CHANGE from Baseline in the Intimacy subscale. Positive change scores represent improvement (possible range -3 to +3).

Time frame: Baseline and week 6 (or last observation after baseline)

Population: Full analysis set defined as subjects who were assessed with FOSQ-10 at baseline and at endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Intimacy0.6 Units on a scaleStandard Error 0.08
Matching PlaceboChange From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Intimacy0.5 Units on a scaleStandard Error 0.08
Secondary

Change From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Social Outcome

FOSQ-10 consists of 10 questions rated on a scale of 1-4 (1=extreme difficulty, 4=no difficulty), and is used to measure the impact of daytime sleepiness on activities of daily living and quality of life. A total score and 5 subscale (vigilance, general productivity, social outcome, intimacy, and activity level) scores are calculated from the responses. Worst subscale score is 1 (maximum difficulty) and the best score is 4 (no difficulty). This score represents the CHANGE from Baseline in the Social Outcome subscale. Positive change scores represent improvement (possible range -3 to +3).

Time frame: Baseline and week 6 (or last observation after baseline)

Population: Full analysis set defined as subjects who were assessed with FOSQ-10 at baseline and at endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Social Outcome0.6 Units on a scaleStandard Error 0.09
Matching PlaceboChange From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Social Outcome0.5 Units on a scaleStandard Error 0.09
Secondary

Change From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Total Score

FOSQ-10 consists of 10 questions, on a scale of 1-4(1=extreme difficulty 4=no difficulty), measures impact of sleepiness on activities of daily living. Lower score = more difficulty with activity due to lack of sleep. Total score = MEAN of subscale scores (vigilance, productivity, social outcome, intimacy, activity) multiplied by 5. Worst total score is 5 (maximum difficulty) the best is 20 (no difficulty). This data reports CHANGE in total score from baseline to endpoint, with higher (positive) values representing improvement. Worst possible CHANGE value would be -15 best would be +15.

Time frame: Baseline and week 6 (or last observation after baseline)

Population: Full analysis set defined as subjects who were assessed with FOSQ-10 at baseline and at endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Total Score3.3 Units on a scaleStandard Error 0.3
Matching PlaceboChange From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Total Score2.6 Units on a scaleStandard Error 0.32
Secondary

Change From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Vigilance Score

FOSQ-10 consists of 10 questions rated on a scale of 1-4 (1=extreme difficulty, 4=no difficulty), and is used to measure the impact of daytime sleepiness on activities of daily living and quality of life. A total score and 5 subscale (vigilance, general productivity, social outcome, intimacy, and activity level) scores are calculated from the responses. Worst subscale score is 1 (maximum difficulty) and the best score is 4 (no difficulty). This score represents the CHANGE from Baseline in the Vigilance subscale. Positive change scores represent improvement (possible range -3 to +3).

Time frame: Baseline and week 6 (or last observation after baseline)

Population: Full analysis set defined as subjects who were assessed with FOSQ-10 at baseline and at endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Vigilance Score0.7 Units on a scaleStandard Error 0.07
Matching PlaceboChange From Baseline to Endpoint in the Functional Outcomes of Sleep Questionnaire (FOSQ-10) Vigilance Score0.5 Units on a scaleStandard Error 0.08
Secondary

Change From Baseline to Endpoint in the Mean Karolinska Sleepiness Scale (KSS) Score

The Karolinska sleepiness scale is a 10-point scale, on which the participant has to mark his sleepiness during the previous 10 minutes. The scale ranges from 1, which indicates extremely alert, to 10, which indicates extremely sleepy, can't stay awake. The KSS was performed by the participant at the baseline visit, week 3, and week 6 (or early termination visit). The score recorded is the average of 3 assessments within ±15 minutes at 0400, 0600, and 0800. The data presented here represents the mean change from baseline in the KSS scores of each group.

Time frame: Baseline and week 6 (or last observation after baseline)

Population: The number of participants analyzed represents the number of participants with evaluable data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in the Mean Karolinska Sleepiness Scale (KSS) Score-2.8 Units on a scaleStandard Error 0.16
Matching PlaceboChange From Baseline to Endpoint in the Mean Karolinska Sleepiness Scale (KSS) Score-1.8 Units on a scaleStandard Error 0.17
Secondary

Change From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Composite Score

Mental-health related disability was assessed with the Modified Sheehan Disability Scale (MSDS). The MSDS has three 11-point items, and the participant is asked to rate, on a numerical scale, the extent to which emotional problems have disrupted her/his work, social life, and family life/home responsibilities over the last month. Each item is rated from 0, indicating not at all, to 10, indicating extremely. Scores for the items are summed for a possible score of 0 to 30. The MSDS was performed by the patient at the baseline visit, at Week 3, and at Week 6.

Time frame: Baseline and week 6 (or last observation after baseline)

Population: Full analysis set defined as subjects who were assessed with MSDS at baseline and at Endpoint.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Composite Score-6.6 Units on a scaleStandard Error 0.6
Matching PlaceboChange From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Composite Score-4.2 Units on a scaleStandard Error 0.62
Secondary

Change From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Family Life Item Score

Mental-health related disability was assessed with the Modified Sheehan Disability Scale (MSDS). The MSDS has three 11-point items, and the participant is asked to rate, on a numerical scale, the extent to which emotional problems have disrupted her/his work, social life, and family life/home responsibilities over the last month. Each item is rated from 0, indicating not at all, to 10, indicating extremely. Scores for the items are summed for a possible score of 0 to 30. The MSDS was performed by the patient at the baseline visit, at Week 3, and at Week 6.

Time frame: Baseline and week 6 (or last observation after baseline)

Population: Full analysis set defined as subjects who were assessed with MSDS at baseline and at Endpoint.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Family Life Item Score-2.2 Units on a scaleStandard Error 0.23
Matching PlaceboChange From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Family Life Item Score-1.5 Units on a scaleStandard Error 0.23
Secondary

Change From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Score - Days Missed Work or Unable to Carry Out Responsibilities

Mental-health related disability was assessed with the Modified Sheehan Disability Scale (MSDS). The MSDS has three 11-point items, and the participant is asked to rate, on a numerical scale, the extent to which emotional problems have disrupted her/his work, social life, and family life/home responsibilities over the last month. Each item is rated from 0, indicating not at all, to 10, indicating extremely. Scores for the items are summed for a possible score of 0 to 30. The MSDS was performed by the patient at the baseline visit, at Week 3, and at Week 6.

Time frame: Baseline and week 6 (or last observation after baseline)

Population: Full analysis set defined as subjects who were assessed with MSDS at baseline and at Endpoint.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Score - Days Missed Work or Unable to Carry Out Responsibilities-0.5 Units on a scaleStandard Error 0.1
Matching PlaceboChange From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Score - Days Missed Work or Unable to Carry Out Responsibilities-0.4 Units on a scaleStandard Error 0.1
Secondary

Change From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Score - Number of Days of Reduced Productivity

Mental-health related disability was assessed with the Modified Sheehan Disability Scale (MSDS). The MSDS has three 11-point items, and the participant is asked to rate, on a numerical scale, the extent to which emotional problems have disrupted her/his work, social life, and family life/home responsibilities over the last month. Each item is rated from 0, indicating not at all, to 10, indicating extremely. Scores for the items are summed for a possible score of 0 to 30. The MSDS was performed by the patient at the baseline visit, at Week 3, and at Week 6.

Time frame: Baseline and week 6 (or last observation after baseline)

Population: Full analysis set defined as subjects who were assessed with MSDS at baseline and at Endpoint.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Score - Number of Days of Reduced Productivity-1.4 Units on a scaleStandard Error 0.13
Matching PlaceboChange From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Score - Number of Days of Reduced Productivity-0.7 Units on a scaleStandard Error 0.14
Secondary

Change From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Social Life Item Score

Mental-health related disability was assessed with the Modified Sheehan Disability Scale (MSDS). The MSDS has three 11-point items, and the participant is asked to rate, on a numerical scale, the extent to which emotional problems have disrupted her/his work, social life, and family life/home responsibilities over the last month. Each item is rated from 0, indicating not at all, to 10, indicating extremely. Scores for the items are summed for a possible score of 0 to 30. The MSDS was performed by the patient at the baseline visit, at Week 3, and at Week 6.

Time frame: Baseline and week 6 (or last observation (or last observation after baseline))

Population: Full analysis set defined as subjects who were assessed with MSDS at baseline and at Endpoint.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Social Life Item Score-2.2 Units on a scaleStandard Error 0.23
Matching PlaceboChange From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Social Life Item Score-1.5 Units on a scaleStandard Error 0.24
Secondary

Change From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Work Item Score

Mental-health related disability was assessed with the Modified Sheehan Disability Scale (MSDS). The MSDS has three 11-point items, and the participant is asked to rate, on a numerical scale, the extent to which emotional problems have disrupted her/his work, social life, and family life/home responsibilities over the last month. Each item is rated from 0, indicating not at all, to 10, indicating extremely. Scores for the items are summed for a possible score of 0 to 30. The MSDS was performed by the patient at the baseline visit, at Week 3, and at Week 6.

Time frame: Baseline and week 6 (or last observation after baseline)

Population: Full analysis set defined as subjects who were assessed with MSDS at baseline and at Endpoint.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Work Item Score-2.2 Units on a scaleStandard Error 0.24
Matching PlaceboChange From Baseline to Endpoint in the Modified Sheehan Disability Scale (MSDS) Work Item Score-1.2 Units on a scaleStandard Error 0.25
Secondary

Change From Baseline to Week 3 in Global Assessment of Functioning

The Global Assessment of Functioning (GAF) is a numeric scale (0 through 100) used by the clinician to rate the social, occupational, and psychological functioning of the patient. A higher score indicates superior functioning and fewer symptoms. The data presented here represents the mean change from baseline in the GAF scores of each group.

Time frame: Baseline and Week 3

Population: The number of participants analyzed represents the number of participants with evaluable data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Week 3 in Global Assessment of Functioning6.9 Units on a scaleStandard Error 0.51
Matching PlaceboChange From Baseline to Week 3 in Global Assessment of Functioning3.7 Units on a scaleStandard Error 0.52
Secondary

Change From Baseline to Week 3 in the Mean Karolinska Sleepiness Scale (KSS) Score

The Karolinska sleepiness scale is a 10-point scale, on which the participant has to mark his sleepiness during the previous 10 minutes. The scale ranges from 1, which indicates extremely alert, to 10, which indicates extremely sleepy, can't stay awake. The KSS was performed by the participant at the baseline visit, week 3, and week 6 (or early termination visit). The score recorded is the average of 3 assessments within ±15 minutes at 0400, 0600, and 0800. The data presented here represents the mean change from baseline in the KSS scores of each group.

Time frame: Baseline and week 3

Population: The number of participants analyzed represents the number of participants with evaluable data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Week 3 in the Mean Karolinska Sleepiness Scale (KSS) Score-2.6 Units on a scaleStandard Error 0.16
Matching PlaceboChange From Baseline to Week 3 in the Mean Karolinska Sleepiness Scale (KSS) Score-1.6 Units on a scaleStandard Error 0.16
Secondary

Change From Baseline to Week 6 in Global Assessment of Functioning

The Global Assessment of Functioning (GAF) is a numeric scale (0 through 100) used by the clinician to rate the social, occupational, and psychological functioning of the patient. A higher score indicates superior functioning and fewer symptoms. The data presented here represents the mean change from baseline in the GAF scores of each group.

Time frame: Baseline and Week 6

Population: The number of participants analyzed represents the number of participants with evaluable data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Week 6 in Global Assessment of Functioning9.8 Units on a scaleStandard Error 0.66
Matching PlaceboChange From Baseline to Week 6 in Global Assessment of Functioning4.9 Units on a scaleStandard Error 0.67
Secondary

Change From Baseline to Week 6 in the Mean Karolinska Sleepiness Scale (KSS) Score

The Karolinska sleepiness scale is a 10-point scale, on which the participant has to mark his sleepiness during the previous 10 minutes. The scale ranges from 1, which indicates extremely alert, to 10, which indicates extremely sleepy, can't stay awake. The KSS was performed by the participant at the baseline visit, week 3, and week 6 (or early termination visit). The score recorded is the average of 3 assessments within ±15 minutes at 0400, 0600, and 0800. The data presented here represents the mean change from baseline in the KSS scores of each group.

Time frame: Baseline and week 6

Population: The number of participants analyzed represents the number of participants with evaluable data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilChange From Baseline to Week 6 in the Mean Karolinska Sleepiness Scale (KSS) Score-2.9 Units on a scaleStandard Error 0.17
Matching PlaceboChange From Baseline to Week 6 in the Mean Karolinska Sleepiness Scale (KSS) Score-1.8 Units on a scaleStandard Error 0.17
Secondary

Percentage of Patients With at Least Minimal Improvement From Baseline in the Clinical Global Impression of Change (CGI-C) Rating as Related to Late Shift Sleepiness at Week 3

The Clinical Global Impression of Change (CGI-C) is an assessment performed by the clinician, evaluating the change in the patient's symptoms over time. The clinician categorizes the change as: very much improved, much improved, minimally improved, no change, minimally worse, much worse, or very much worse. The data presented here represents the percentage of patients whose condition showed at least minimal improvement in the CGI-C rating as related to late shift sleepiness (defined as the period 0400-0800, including the commute home).

Time frame: Baseline and week 3

Population: Full analysis set defined as subjects who were assessed with CGI-C at baseline and at week 3

ArmMeasureValue (NUMBER)
150 mg/Day ArmodafinilPercentage of Patients With at Least Minimal Improvement From Baseline in the Clinical Global Impression of Change (CGI-C) Rating as Related to Late Shift Sleepiness at Week 378 Percentage of participants
Matching PlaceboPercentage of Patients With at Least Minimal Improvement From Baseline in the Clinical Global Impression of Change (CGI-C) Rating as Related to Late Shift Sleepiness at Week 351 Percentage of participants
Secondary

Percentage of Patients With at Least Minimal Improvement From Baseline in the Clinical Global Impression of Change (CGI-C) Rating as Related to Late Shift Sleepiness at Week 6

The Clinical Global Impression of Change (CGI-C) is an assessment performed by the clinician, evaluating the change in the patient's symptoms over time. The clinician categorizes the change as: very much improved, much improved, minimally improved, no change, minimally worse, much worse, or very much worse. The data presented here represents the percentage of patients whose condition showed at least minimal improvement in the CGI-C rating as related to late shift sleepiness (defined as the period 0400-0800, including the commute home).

Time frame: Baseline and week 6

Population: Full analysis set defined as subjects who were assessed with CGI-C at baseline and at week 6

ArmMeasureValue (NUMBER)
150 mg/Day ArmodafinilPercentage of Patients With at Least Minimal Improvement From Baseline in the Clinical Global Impression of Change (CGI-C) Rating as Related to Late Shift Sleepiness at Week 680 Percentage of participants
Matching PlaceboPercentage of Patients With at Least Minimal Improvement From Baseline in the Clinical Global Impression of Change (CGI-C) Rating as Related to Late Shift Sleepiness at Week 656 Percentage of participants
Secondary

Treatment Satisfaction Questionnaire for Medication (TSQM)- Convenience Score at Endpoint

TSQM is a 14 question questionnaire assessing satisfaction with the medication. 4 scales are generated: side effects, effectiveness, convenience, and global satisfaction. Subjects responded to the questionnaire at Week 3, Week 6, and last observation after baseline. Optional responses are: Extremely Dissatisfied, Very Dissatisfied, Dissatisfied, Somewhat Satisfied, Satisfied, Very Satisfied, and Extremely Satisfied. From the responses, a scale score from 0 - 100 is calculated, with a higher score indicating greater satisfaction. Results from the Convenience scale are presented here.

Time frame: Endpoint

Population: Full analysis set defined as subjects who completed the TSQM at Endpoint (Week 6 or last observation after baseline)

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilTreatment Satisfaction Questionnaire for Medication (TSQM)- Convenience Score at Endpoint82.5 Units on a scaleStandard Error 1.5
Matching PlaceboTreatment Satisfaction Questionnaire for Medication (TSQM)- Convenience Score at Endpoint80.7 Units on a scaleStandard Error 1.51
Secondary

Treatment Satisfaction Questionnaire for Medication (TSQM)- Effectiveness Score at Endpoint

TSQM is a 14 question questionnaire assessing satisfaction with the medication. 4 scales are generated: side effects, effectiveness, convenience, and global satisfaction. Subjects responded to the questionnaire at Week 3, Week 6, and last observation after baseline. Optional responses are: Extremely Dissatisfied, Very Dissatisfied, Dissatisfied, Somewhat Satisfied, Satisfied, Very Satisfied, and Extremely Satisfied. From the responses, a scale score from 0 - 100 is calculated, with a higher score indicating greater satisfaction. Results from the Effectiveness scale are presented here.

Time frame: Endpoint

Population: Full analysis set defined as subjects who completed the TSQM at Endpoint (Week 6 or last observation after baseline)

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilTreatment Satisfaction Questionnaire for Medication (TSQM)- Effectiveness Score at Endpoint65.7 Units on a scaleStandard Error 2.46
Matching PlaceboTreatment Satisfaction Questionnaire for Medication (TSQM)- Effectiveness Score at Endpoint46.1 Units on a scaleStandard Error 2.48
Secondary

Treatment Satisfaction Questionnaire for Medication (TSQM)- Global Satisfaction Score at Endpoint

TSQM is a 14 question questionnaire assessing satisfaction with the medication. 4 scales are generated: side effects, effectiveness, convenience, and global satisfaction. Subjects responded to the questionnaire at Week 3, Week 6, and last observation after baseline. Optional responses are: Extremely Dissatisfied, Very Dissatisfied, Dissatisfied, Somewhat Satisfied, Satisfied, Very Satisfied, and Extremely Satisfied. From the responses, a scale score from 0 - 100 is calculated, with a higher score indicating greater satisfaction. Results from the Global Satisfaction scale are presented here.

Time frame: Endpoint

Population: Full analysis set defined as subjects who completed the TSQM at Endpoint (Week 6 or last observation after baseline)

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilTreatment Satisfaction Questionnaire for Medication (TSQM)- Global Satisfaction Score at Endpoint59.9 Units on a scaleStandard Error 2.72
Matching PlaceboTreatment Satisfaction Questionnaire for Medication (TSQM)- Global Satisfaction Score at Endpoint44.1 Units on a scaleStandard Error 2.74
Secondary

Treatment Satisfaction Questionnaire for Medication (TSQM)- Side Effects Score at Endpoint

TSQM is a 14 question questionnaire assessing satisfaction with the medication. 4 scales are generated: side effects, effectiveness, convenience, and global satisfaction. Subjects responded to the questionnaire at Week 3, Week 6, and last post-baseline observation. Optional responses are: Extremely Dissatisfied, Very Dissatisfied, Dissatisfied, Somewhat Satisfied, Satisfied, Very Satisfied, and Extremely Satisfied. From the responses, a scale score from 0 - 100 is calculated, with a higher score indicating greater satisfaction. Results from the Side Effects scale are presented here.

Time frame: Endpoint

Population: Full analysis set defined as subjects who completed the TSQM at Endpoint (Week 6 or last observation after baseline)

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
150 mg/Day ArmodafinilTreatment Satisfaction Questionnaire for Medication (TSQM)- Side Effects Score at Endpoint88.3 Units on a scaleStandard Error 1.62
Matching PlaceboTreatment Satisfaction Questionnaire for Medication (TSQM)- Side Effects Score at Endpoint96.3 Units on a scaleStandard Error 1.63

Source: ClinicalTrials.gov · Data processed: Mar 25, 2026